Research: ALBERT and COLLEAGUES,

Listed in Issue 187

Abstract

ALBERT and COLLEAGUES, Nursing Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA sought to determine whether massage therapy improves postoperative mood, pain, anxiety, and physiologic measurements; shortens hospital stay; and decreases occurrence of atrial fibrillation.

Background

Methodology

Two hundred fifty-two adults undergoing cardiac surgery were randomized to usual postoperative care (n=126) or usual care plus two massages (n=126). Assessments of mood, depression, anxiety, pain, physiologic status, cardiac rhythm, and hospital length of stay were completed. Logistic and linear regressions were performed.

Results

Preoperative pain, mood, and affective state scores were positively associated with postoperative scores; however, there were no postoperative differences between groups for any measures (P=.11 to .93). There were no differences in physiologic variables except lower postoperative blood pressure after massage (P = .01). Postoperative atrial fibrillation occurrence (P = .6) and median postoperative hospital length of stay (P = .4) were similar between groups.

Conclusion

Massage therapy is feasible in cardiac surgical patients; however, it does not yield therapeutic benefit. Nevertheless, it should be a patient-selected and -paid option.

References

Albert NM, Gillinov AM, Lytle BW, Feng J, Cwynar R and Blackstone EH. A randomized trial of massage therapy after heart surgery. Heart & Lung. 38(6): 480-90. Nov-Dec 2009.

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